NPI | 1831546423 |
---|---|
Former Name | DANIELLE ELIZABETH HAMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016019532) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77273) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2025-02-03 |